Polyautoimmunity in patients with cutaneous lupus erythematosus: A nationwide sex- and age-matched cohort study from Denmark

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  • Christoffer S. Graven-Nielsen
  • Ida V. Vittrup
  • Anna J. Kragh
  • Fredrik Lund
  • Sofie Bliddal
  • Kristian Kofoed
  • Salome Kristensen
  • Allan Stensballe
  • Claus H. Nielsen
  • Feldt-Rasmussen, Ulla
  • René Cordtz
  • Lene Dreyer

Background: Polyautoimmunity is defined as having 2 or more autoimmune diseases. Little is known about polyautoimmunity in patients with cutaneous lupus erythematosus (CLE). Objectives: To estimate prevalence and 5-year incidence of non–lupus erythematosus (LE) autoimmune diseases in patients with CLE. Methods: Patients with CLE were identified In the Danish National Patient Registry and each patient was age- and sex-matched with 10 general population controls. Outcome information on non-LE autoimmune diseases was obtained by register-linkage between Danish National Patient Registry and the National Prescription Register. The risk ratio (RR) for prevalent non-LE autoimmune disease at time of CLE diagnosis was calculated in modified Poisson regression; and hazard ratios (HRs) for incident non-LE autoimmune disease were estimated in Cox regression analyses. Results: Overall, 1674 patients with CLE had a higher prevalence of a non-LE autoimmune disease than the comparators (18.5 vs 7.9%; RR 2.4; 95% CI, 2.1 to 2.6). Correspondingly, the cumulative incidence of a non-LE autoimmune disease during 5 years of follow-up was increased for the patients with CLE: HR 3.5 (95% CI, 3.0 to 4.0). Limitations: Risk of detection and misclassification bias, mainly pertaining to the CLE group. Conclusion: Patients with CLE had higher prevalence and 5-year cumulative incidence of a non-LE autoimmune disease than the general population.

Original languageEnglish
JournalJAAD International
Volume13
Pages (from-to)126-133
Number of pages8
DOIs
Publication statusPublished - 2023

Bibliographical note

Publisher Copyright:
© 2023 American Academy of Dermatology, Inc.

    Research areas

  • autoimmune diseases, cutaneous lupus erythematosus, epidemiology, polyautoimmunity, thyroid autoimmunity

ID: 379034892